請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/58749
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 羅美芳(Meei-Fang Lou) | |
dc.contributor.author | Fong-Tzu Hsieh | en |
dc.contributor.author | 謝芳慈 | zh_TW |
dc.date.accessioned | 2021-06-16T08:28:57Z | - |
dc.date.available | 2017-02-25 | |
dc.date.copyright | 2014-02-25 | |
dc.date.issued | 2013 | |
dc.date.submitted | 2014-01-09 | |
dc.identifier.citation | 中文部分
行政院衛生福利部 (2011年6月29日) •健保局葉克膜 (ECMO、體外循環維生系統)去年救活499人,將近使用人數的一半•取自http://www.nhi.gov.tw/information/NewsDetail.aspx?No=947&menu=9&menu_id=544 行政院衛生福利部中央健康保險署 (2012年08月30日)•101年9月特材品名適應症及使用規範(101.08.30更新)•取自http://www.nhi.gov.tw/resource/Webdata/13766_1_10109給付規定.xls 姚開屏 (2000)•簡介與評論常用的一般性健康相關生活品質量表兼談未來研究的建議•中國測驗學會測驗年刊,47(2),111-138。 姚開屏 (2002) •臺灣版世界衛生組織生活品質問卷之發展與應用•臺灣醫學,6(3),193-200。 楚恆毅、劉復康 (1999) •日常生活活動的功能性評估簡介•國防醫學,28(6),457-461。 楊依嘉、宋佾璋(2013年12月8日)• 世界工時第三長 台灣人你累了嗎?•取自 http://news.cts.com.tw/cts/general/201312/201312081347482.html 英文部分 Andresen, E. M., Fouts, B. S., Romeis, J. C., & Brownson, C. A. (1999). Performance of health-related quality-of-life instruments in a spinal cord injured population. Archives of Physical Medicine and Rehabilitation, 80, 877-884. Andrews, F. M. (1974). Social indicators of perceived life quality. Social Indicator Research, 1, 279-299. Aydemir, O., Ozdemir, C., & Koroglu, E. (2005). The impact of co-morbid conditions on the SF-36: A primary-care-based study among hypertensives. Archives of Medical Research, 36(2), 136-141. Ballen, A., & Lee, G. (2007). A comparative study of patients perceived quality of life pre and post coronary artery bypass graft surgery. Australian Journal of Advanced Nursing, 24(4), 24-28. Barclay-Goddard, R., Lix, L. M., Tate, R., Weinberg, L., & Mayo, N. E. (2011). Health-related quality of life after stroke: Does response shift occur in self-perceived physical function? Archives of Physical Medicine and Rehabilitation, 92, 1762-1769. doi: 10.1016/j.apmr.2011.06.013 Baró, E., Ferrer, M., Vázquez, O., Miralles, R., Pont, A., Esperanza, A., … Alonso, J. (2006). Using the Nottingham Health Profile (NHP) among older adult inpatients with varying cognitive function. Quality of Life Reaearch, 15, 575-585. Beckie, T. M., & Hayduk, L. A. (1997). Measuring quality of life. Social Indicators Research, 42(1), 21–39. Berney, S., Haines, K., Skinner, E. H., & Denehy, L. (2012). Safety and feasibility of an exercise prescription approach to rehabilitation across the continuum of care for survivors of critical illness. Physical Therapy, 92(12), 1524-1535. Bowling, A. (2005). Measuring health ( 3rd Ed.), (pp.1-9). Glasgow, Scotland: Bell & Brain. Caine, N., Sharples, L. D., English, T. A., & Wallwork, J. (1990). Prospective study comparison quality of life before and after heart transplantation. Transplantation Proceedings, 22(4), 1437-1439. Chetter, I. C., Spark, J. I., Dolan, P., Scott, D. J. A., & Kester, R. C. (1997). Quality of life analysis in patients with lower limb ischaemia: Suggestions for European standardization. European Journal of Vascular and Endovascular Surgery, 13, 597-604. Chiao, C., Weng, L. J., & Botticello, A. (2011). Social participation reduces depressive symptoms among older adults: An 18-year longitudinal analysis in Taiwan. BMC Public Health, 11, 292-300. Choi, E., & Song, M. (2003). Physical restraint use in a Korean ICU. Journal of Clinical Nursing, 12(5), 651-659. Clemson, L., Bundy, A., Unsworth, C., & Singh, M. F. (2009). Validation of the modified assessment of living skills and resources, an IADL measure for older people. Disability and Rehabilitation, 31(5), 359-369. doi: 10.1080/09638280802105881 Combes, A., Leprince, P., Luyt, C. E, Bonnet, N., Trouillet, J. L., Léger, P., …Chastre, J. (2008). Outcomes and longterm quality-of-life of patients supported by extracorporeal membrane oxygenation for refractory cardiogenic shock. Critical Care Medicine, 36(5), 1404-1411. doi: 10.1097/CCM.0b013e31816f7cf7 Cromwell, D. A., Eagar, K., & Poulos, R. G. (2003). The performance of instrumental activities of daily living scale in screening for cognitive impairment in elderly community residents. Journal of Clinical Epidemiology, 56, 131-137. doi: 10.1016/S0895-4356(02)00599-1 De Hann, R., Horn, J., Limberg, M., van der Meulen, J., & Bossuyt, P. (1993). A comparison of five stroke scales with measure of disability, handicap and quality of life. Stroke, 24, 1178-1181. Dempster, M., Carney, R., & McClements, R. (2010). Response shift in the assessment of quality of life among people attending cardiac rehabilitation. British Journal of Health Psychology, 15, 307-319. doi: 10.1348/135910709X464443 Douki, Z. E., Vaezzadeh, N., Zakizad, M., Shahmohamadi, S., Sadeghi, R., & Mohammadpour, R. A. (2010). Changes in functional status and functional capacity following coronary artery bypass surgery. Pakistan Journal of Biological Sciences, 13(7), 330-334. Eriksson, M., Asplund, K., & Svedlund, M. (2010). Couple’s thoughts about and expectations of their future life after the patient’s hospital discharge following acute myocardial infarction. Journal of Clinical Nursing, 19(23-24), 3485-3493. Eriksson, M., Asplund, K., Hochwälder, J., & Svedlund, M. (2013). Changes in hope and health-related quality of life in couples following acute myocardial infarction: A quantitative longitudinal study. Scandinavian Journal of Caring Sciences, 27(2), 295-302. doi: 10.1111/j.1471-6712.2012.01032.x Essink-Bot, M. L., Krabbe, P. F., van Agt, H. M., & Bonsel, G. J. (1996). NHP or SIP -A comprehensive study in renal insufficiency associated anemia. Quality of Life Research, 5(1), 91-100. Evans, S., & Huxley, P. (2005). Adaptation, response-shift and quality of life ratings in mentally well and unwell groups. Quality of Life Research, 14, 1719-1732. doi: 10.1007/s11136-005-1742-1 Falcoz, P. E., Chocron, S., Stoica, L., Kaili, D., Puyraveau, M., Mercier, B. S. M., & Etievent, J. P. (2003). Open heart surgery: One-year self-assessment of quality of life and functional outcome. The Annals of Thoracic Surgery, 76, 1598-1604. Faria, C. D., Teixeria-Salmela, L. F., Nascimento, V. B., Costa, A. P., Brito, N. D., & Rodrigues-De-Paula, F. (2011). Comparisons between the Nottingham Health Profile and the Short Form-36 for assessing the quality of life of community-dwelling elderly. Revista Brasileira De Fisioterapia, 15(5), 399-405. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. Fieo, R. A., Austin, E. J., Starr, J. M., & Deary, I. J. (2011). Calibrating ADL-IADL scales to improve measurement accuracy and to extend the disability construct into the preclinical range: A systematic review. BMC Geriatrics, 11, 42-56. Firmin, R. K., & Killer, H. M. (1999). Extracorporeal membrane oxygenation. Perfusion, 14, 291-297. Fok, S. K., Chair, S. Y., & Lopez, V. (2005). Sense of coherence, coping and quality of life following a critical illness. Journal of Advanced Nursing, 49(2), 173-181. Franze´n-Dahlin, A., & Laska, A. C. (2012). Gender differences in quality of life after stroke and TIA: Across-sectional survey of out-patients. Journal of Clinical Nursing, 21(15-16), 2386-2391. Fry, P. S. (2000). Aging and quality of life (QOL)-The continuing search for quality of life indicators. International Journal of Aging and Human Development, 50(4), 245-261. Gosman-Hedström, G., & Svensson, E. (2000). Parallel reliability of the Functional Independence Measure and the Barthel ADL Index. Disability and Rehabilitation, 22(16), 702-715. Hall, W. H., Ramachandran, R., Narayan, S., Jani, A. B., & Vijayakumar, S. (2004). An electronic application for rapidly calculating Charlson comorbidity score. BMC Cancer, 4, 94. doi: 10.1186/1471-2407-4-94 Hocking, C., Williams, M., Broad, J., & Baskett, J. (1999). Sensitivity of Shah, Vanclay, and Cooper’s modified Barthel Index. Clinical Rehabilitation, 13, 141-147. Hofhuis, J. G. M., Spronk, P. E., van Stel, H. F., Schrijvers, A. J. P., & Bakker, J. (2007). Quality of life before intensive care unit admission is a predictor of survival. Critical Care, 11(4), R78. doi: 10.1186/cc5970 Hofhuis, J. G. M., van Stel, H. F., Schrijvers, A. J. P., Rommes, J. H., Bakker, J., & Spronk, P. E. (2009). Conceptual issues specifically related to health-relates quality of life in critical ill patients. Critical Care, 13(1), 118-120. doi: 10.1186/cc7699 Holmes, W., & Joseph, J. (2011). Social participation and healthy aging: A neglected, significant protective factor for chronic non communicable conditions. Globalization and Health, 7, 43-50. Hornquist, J. O. (1982). The concept of quality of life. Scandinavian Journal of Social Medicine, 10(2), 57-61. Hu, Y. N., Hu, G. C., Hsu, C. Y., Hsieh, S. F., & Li, C. C. (2012). Assessment of individual activities of daily living and its association with self-rated health in elderly people of Taiwan. International Journal of Gerontology, 6, 117-121. Huang, Y. (2009). Factors leading to self-extubation of endotracheal tubes in the intensive care unit. Nursing in Critical Care, 14(2), 68-74. Hunt, S. M., & McEwen, J. (1980). The development of a subjective health indicator. Sociology of Health and Illness, 2(3), 231-246. Hyde, M., Wiggins, R. D., Higgs, P., & Blane, D. B. (2003). A measure of quality of life in early old age: The theory, developments and properties of a needs satisfaction model (CASP-19). Aging & Mental Health, 7(3), 186-194. Jans, M. P., Schellevis, F. G., & van Eijk, J. T. M. (1999). The Nottingham Health Profile: Score distribution, internal consistency and validity in asthma and COPD patients. Quality of Life Research, 8, 501-507. Jenkinson, C., Coulter, A., & Wright, L. (1993). Short Form 36 (SF-36) health survey questionnaire: Normative data for adults of working age. Brithsh Medical Journal, 306, 1437-1440. Kara, I., Ay1, Y., Köksal, C., Aydın, C., Yanartaş, M., & Yildirim, T. (2012). The quality of life after cardiac surgery in octogenarians and evaluation of its early and mid-term results. The Anatolian Journal of Cardiology, 12, 352-358. Kelly, M. A., & McKinley, S. (2010). Patients’ recovery after critical illness at early follow-up. Journal of Clinical Nursing, 19, 691-700. doi: 10.1111/j.1365-2702.2009.03117.x Kiekkas, P., Theodorakopoulou, G., Spyratos, F. & Baltopoulos, G. I. (2010). Psychological distress and delusional memories after critical care: A literature review. International Nursing Review, 57, 288-296. Kim, D. H., Haney, C. L., & Van Ginhoven, G. (2005). Utility of outcome measures after treatment for intracranial aneurysms: A prospective trial involving 520 patients. Stroke, 36(4), 792-796. doi: 10.1166/01.STR.0000157594.58180.97 Kind, P., & Carr-Hill, R. (1987). The Nottingham health profile: A useful tool for epidemiologist? Social Science and Medicine, 25(8), 905-910. Kontio, R., Välimäki, M., Putkonen, H., Kuosmanen, L., Scott, A., & Joffe, G. (2010). Patient restrictions: Are there ethical alternatives to seclusion and restraint? Nursing Ethics, 17(1), 65-76. Lan, C.C., Tsai, P. R., Chen, Y. S. & Ko, W. J. (2010). Prognostic factors for adult patients receiving extracorporeal membrane oxygenation as mechanical circulatory support – A 14-year experience at a medical center. Artificial Organs, 34(2), E59-E64. Law, M. (1993). Evaluating activities of daily livng: Directions for the future. The American Journal of Occupational Therapy, 47(3), 233-237. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9(3), 179-186. Lawton, M. P. (1971). The functional assessment of elderly people. Journal of the American Geriatrics Society, 19(6), 465-481. Le Grande1, M. R., Elliott, P. C., Murphy, B. M., Worcester, M. U. C., Higgins, R. O., Ernest, C. S., & Goble1, A. J. (2006). Health related quality of life trajectories and predictors following coronary artery bypass surgery. Health and Quality of Life Outcome, 4, 49-62. Levasseur, M., Desrosiers, J., & Whiteneck, G. (2010). Accomplishment level and satisfaction with social participation of older adults: Association with quality of life and best correlates. Quality of Life Research, 19, 665-675. doi: 10.1007/s11136-010-9633-5 Lie, I., Arnesen, H., Sandvik, L., Hamilton, G., & Bunch, E. H. (2009). Health-related quality of life after coronary artery bypass grafting. The impact of a randomised controlled home-based intervention program. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 18(2), 201-207. Lindén, V. B., Lidegran, M. K., Frisén, G., Dahlgren, P., Frenckner, B. P., & Larsen, F. (2009). ECMO in ARDS: A long-term follow-up study regarding pulmonary morphology and function and health-related quality of life. Acta Anaesthesiologica Scandinavica, 53, 489-495. doi: 10.1111/j.1399-6576.2008.01808.x Madani, M. (2000). Effectiveness of Stadol NS (butorphanol tartrate) with ibuprofen in the treatment of pain after laser-assisted uvulopalatopharyngoplasty. Journal of Oral and Maxillofacial Surgery: Official Journal of the American Association of Oral and Maxillofacial Surgeons, 58 (10 Suppl 2), 27-31. Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61-65. Marasco, S. F., Lukas, G., McDonald, M., McMillan, J., & Ihle, B. (2008). Review of ECMO (Extra Corporeal Membrane Oxygenation) support in critically ill adult patients. Heart, Lung and Circulation, 17S, S41-S47. doi: 10.1016/j.hlc.2008.08.009 Mars, G. M., Kempen, G. I. J., Mesters, I., Proot, I., & van Eijk, J. T. M. (2008). Characteristics of social participation as defined by older adults with a chronic physical illness. Disability and Rehabilitation, 30(17), 1298-1308. doi: 10.1080/09638280701623554 Mattison, P. G., Aitken, R. C., & Prescott, R. J. (1991). Rehabilitation status-The relationship between the Edinburgh Rehabilitation Status Scale (ERSS), Barthel Index, and PULSES profile. International Disability Studies, 13(1), 9-11. McHorney, C. A., Ware, J. E., & Raczek, A. E. (1993). The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247-263. McQueen, D. A., Long, M. J., & Schurman, J. R. (2005). Selecting a subjective health status measure for optimum utility in everyday orthopedic practice. Journal of Evaluation in Clinical Practice, 11(1), 45-51. Meeberg, G. A. (1993). Quality of life: A concept analysis. Journal of Advanced Nursing, 18, 32-38. Mikkelsen, M. E., Shull, W. H., Biester, R. C., Taichman, D. B., Lynch, S., Demissie, E., …Christie, J. (2009). Cognitive, mood and quality of life impariments in a select population of ARDS survivors. Respiratory, 14, 76-82. Millqvist, E., Löwhagen, O., & Bende, M. (2000). Quality of life and capsaicin sensitivity in patients with sensory airway hyperreactivity. Allergy, 55(6), 540-545. Myles, P. S., Viira, D., & Hunt, J. O. (2006). Quality of life at three years after cardiac surgery: Relationships with preoperative status and quality of recovery. Anaesthesia and Intensive Care, 34(2), 176-183. Netuveli, G., & Blane, D. (2008). Quality of life in older ages. British Medical Bulletin, 85, 113-126. doi: 10.1093/bmb/ldn003 Ozalevi, S., Karaali, H., Cankurtaran, F., Kilinc, O., & Akkoclu, A. (2008). Comparison of Short Form -36 Health Survey and Nottingham Health Profile in moderate to severe patients with COPD. Journal of Evaluation in Clinical Practice, 14, 493-499. doi: 10.1111/j.1365-2753.2007.00904.x Permanyer-Miralda, G., Alonso, J., Antó, J. M., Alijarde-Guimerá, M., & Soler-Soler, J. (1991). Comparison of perceived health status and conventional functional evaluation in stable patients with coronary artery disease. Journal of Clinical Epidemiology, 44(8), 779-786. Phillips, L. A. (2013). Delirium in geriatric patients: Identification and prevention. Medsurg Nursing: Official Journal of the Academy of Medical-Surgical Nurses, 22(1), 9-12. Roehrig, B., Hoeffken, K., Pientka, L., & Wedding, U. (2007). How many and which items of activities of daily living (ADL) and instrumental activities of daily living (IADL) are necessary for screening. Critical Reviews in Oncology/ Hematology, 62(2), 164-171. Rosenberger, J., van Dijk, J. P., Nagyova, I., Roland, R., Geckova, A. M., van den Heuvel, W. J. A., & Groothoff, J. W. (2005). Do dialysis- and transplantation-related medical factors affect perceived health status? Nephrology Dialysis Transplantation, 20, 2153-2158. doi: 10.1093/ndt/gfh965 Sabin, T., Parthasarathi, G., & Padukudru, M. A. (2012). Health-related quality of life assessment using St. George’s respiratory questionnaire in asthmatics on inhaled corticosteroids. Lung India, 29(1), 35-43. doi: 10.4103/0970-2113.92360 Samuelson, K., Lundberg, D., & Fridlund, B. (2007). Stressful memories and psychological distress in adult mechanically ventilated intensive care patients – A 2-month follow up study. Acta Anaesthesiologica Scandinavica, 51 (6), 671–678. Scott, C., Phillips, L., Johnston, M., Whyte, M. M., & MacLeod, M. (2012). Emotion processing and social participation following stroke: Study protocol. BMC Neurology, 12, 56-62. Sedrakyan, A.,Vaccarino, V., Elefteriades, J. A., Mattera, J. A., Lin, Z., Roumanis, S. A., & Krumholz, H. M. (2006). Health related quality of life after mitral valve repairs and replacements. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 15(7), 1153-1160. Shin, D. C., & Johnson, D. M. (1978). Avowed happiness as an overall assessment of the quality of life. Social Indicators Research, 5, 475-492. Smedira, N. G., & Blackstone, E. H. (2001). Postcardiotomy mechanical support: Risk factors and outcome. The Annals of Thoracic Surgery, 71, S60-S66. Smith, C., Bellomo, R., Raman, J. S., Matalanis, G., Rosalion, A., Buckmaster, J., …Buxton, B. F. (2001). An extracorporeal membrane oxygenation-based approach to cardiogenic shock in an older population. The Annals of Thoracic Surgery, 71, 1421-1427. Sprangers, M. A. G., & Schwartz, C. E. (1999). Integrating response shift into health related quality of life research: A theoretical model. Social Science and Medicine, 48, 1507-1515. Stiers, W., Carlozzi, N., Cernich, A., Velozo, C., Pape, T., Hart, T., …Whiteneck, G. (2012). Measurement of social participation outcomes in rehabilitation of veterans with traumatic brain injury. Journal of Rehabilitation Research & Development, 49(1), 139-154. Stoll, C., Schelling, G., Goetz, A. E., Kilger, E., Bayer, A., Kapfhammer, H. P., … Peter, K. (2000). Health- related quality of life and post-traumatic stress disorder in patients after cardiovascular surgery and intensive care treatment. The Journal of Thoracic and Cardiovascular Surgery, 120(3), 505-512. Takahashi, M., Saeki, S., & Hachisuka, K. (2009). Characteristics of disabilities in patients with subacute myelo-optico-neuropathy living at home: Satisfaction in daily life and short form-36. Disability and Rehabilitation, 31(23), 1902-1906. doi: 10.1080/09638280902846376 Tartar, R. E., Erb, S., Biller, P. A., Switala, J., & van Thiel, D. H. (1988). The quality of life following liver transplantation: A preliminary report. Gastroenterology Clinics of North America, 17(1), 207-217. van Breugel, H. N. A. M., Nieman, F. H. M., Accord, R. E., Van Mastrigt, G. A. P. G., Nijs, J. F. M. A., Severens, J. L., …Maessen, J. G. (2010). A prospective randomized multicenter comparison on health-related quality of life: The value of add-on arrhythmia surgery in patients with paroxysmal, permanent or persistent atrial fibrillation undergoing valvular and/or coronary bypass surgery. Journal of Cardiovascular Electrophysiology, 21(5), 511-521. van der Mei, S. F., van Sonderen, E. L. P., van Son, W., de Jong, P. E., Groothoff, J. W., & van den Heuvel, W. A. (2007). Social participation after successful kidney transplantation. Disability and Rehabilitation, 29(6), 473-483. doi: 10.1080/09638280600841257 van Rijn, T. (2009). A physiatrist’s view of response shift. Journal of Clinical Epidemiology, 62, 1191-1195. doi: 10.1016/j.jclinepi.2009.01.023 Viganò, G., Guidotti, A., Taramasso, M., Giacomini, A., & Alfieri, O. (2010). Clinical mid-term results after tricuspid valve replacement. Interactive CardioVascular and Thoracic Surgery, 10, 709-713. doi: 10.1510/icvts.2009.224212 Wagner, K., Risnes, I., Abdelnoor, M., Karlsen, H. M., & Svennevig, J. L. (2007). Is it possible to predict outcome in cardiac ECMO? Analysis of preoperative risk factors. Perfusion, 22, 225-229. doi: 10.1177/0267659107083241 Wang, J., Han, J., Jia, Y., Zeng, W., Shi, J., Hou, X., & Meng, X. (2009). Early and intermediate results of rescue extracorporeal membrane oxygenation in adult cardiogenic shock. The Annals of Thoracic Surgery, 88, 1897-1904. doi: 10.1016/j.athracsur.2009.08.009 Wann-Hansson, C., Hallberg, I. R., Risberg, B., Lundell, A., & Klevsgard, R. (2005). Health-related quality of life after revascularization for peripheral arterial occlusive disease: Long-term follow-up. Journal of Advanced Nursing, 51(3), 227-235. Ware, J. E., Kosinski, M., & Gandek, B. (2003). SF-36 health survey: Manual and interpretation guide. Lincoln, N. B.: Quality Metric Inc. World Health Organization (1946, June 19-22). WHO definition of health. Retrieved from the World Wide Web: http://who.int/about/definition/en/print.html World Health Organization (2001). International classification of functioning, disability and health. Geneva: Author. Yu, D. S. F., Thompson, D. R., Yu, C. M., & Oldridge, N. B. (2008). Validation of the Chinese version of the MacNew Heart Disease Health-related quality of life questionnaire. Journal of Evaluation in Clinical Practice, 14, 326-335. doi: 10.1111/j.1365-2753.2007.00863.x Zhan, L. (1992). Quality of life: Conceptual and measurement issues. Journal of Advanced Nursing, 17, 795-800. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/58749 | - |
dc.description.abstract | 研究背景:葉克膜為重症病患常見之侵入性治療,但研究文獻大多以存活結果為主,缺乏生活品質相關研究。
研究目的:本研究目的為瞭解接受葉克膜治療的重症成人病患,出院後的1.健康狀態與生活品質、2.個人基本資料及疾病相關資料和健康狀態、生活品質的相關性或差異性、3.生活品質的影響因素、4.出院後約2-3年期間的存活狀況及死亡風險因素、5.個人歷經重大治療後的改變,以及返家適應過程中遭遇的困難。 研究方法:本研究採橫斷式調查研究法,以結構式及半結構式問卷為研究工具,採方便取樣,收案對象為2009-2011年於某醫學中心接受葉克膜治療後出院之成人病患。研究工具包括:病患基本資料及疾病相關資料、巴氏量表、工具性日常生活功能量表、諾丁漢健康評估量表(第二部分)、Short Form-36(SF-36)生活品質問卷及返家生活適應半結構式問卷。 研究結果:共收案100位病患,平均年齡為48.95±14.75歲,有葉克膜相關併發症共10例;查爾森共病症指數為2.39±2.45分、巴氏量表得分為96.15±13.16分、工具性日常生活功能量表得分為7.12±1.99分、諾丁漢健康評估量表(第二部分)目前受影響項目為2.27±2.85項、生活品質生理組成量表得分為49.25± 9.51分、生活品質心理組成量表得分為48.13±10.46分。健康狀態中身體結構功能(查爾森共病症指數,r = -0.33, p < 0.01)、活動能力(巴氏量表,r = 0.57, p < 0.01;工具性日常生活功能量表,r = 0.64,p < 0.01)、社會參與度(諾丁漢健康評估量表第二部分目前受影響項目,r = -0.76,p < 0.01)和生活品質(SF-36)彼此相關。生活品質之影響因素,在生理組成方面之影響因素為諾丁漢健康評估量表(第二部分)目前影響項目數(β= -0.62,adjusted R2 = 57.9%,p = 0.00)、巴氏量表得分(β= 0.24,adjusted R2 = 5.2%,p = 0.00)、工作狀態(β= 0.14,adjusted R2 = 1.6 %,p = 0.02);在心理組成方面之影響因素為諾丁漢健康評估量表(第二部分)目前影響項目數(β= -0.33,adjusted R2 = 10.2 %,p = 0.00 )及性別(β= -0.19,adjusted R2 = 2.7%,p = 0.05 )。整體存活狀況自出院開始計算存活率為83.67%,影響存活的死亡風險因素(Hazard Ratio, HR)為65歲以上(HR = 2.59,p = 0.05)、查爾森共病症指數(HR =1.13,p = 0.03)、加護病房住院天數(HR =1.02,p = 0.00)及住院天數(HR =1.01,p= 0.00)。住院過程中,病患回憶表示多以生理層面不適居多,特別是插管、約束、認知改變(譫妄);而返家過程中,大多數病患覺得肢體復健過程很辛苦。經過此次重大疾病住院過程,許多病患開始改變生活型態,特別是飲食和作息。同時,許多病患也把健康和家人視為最重要的事物。 結論/建議:1.本研究結果支持「國際健康功能與身心障礙分類系統」之理論架構,健康狀態中的身體功能和結構、活動能力、社會參與度彼此相關且會影響生活品質;2.本研究生活品質和其他重症病患生活品質相比,接近心臟手術病患;也較其它重症病患常模得分為高,但較一般正常人常模低分。建議在住院過程中,盡可能緩解病患插管及約束所造成不適以及及早進行復健相關活動,對於病患肢體活動及返家適應、生活品質,都會有所改善。 | zh_TW |
dc.description.abstract | Background: Extra corporeal membrane oxygenation (ECMO) is a common invasive treatment for critically ill patients. Most ECMO research has focused on survival outcomes and scant studies have evaluated quality of life (QoL).
Objectives: This study investigated critically ill adults treated using ECMO regarding the following: (1) health status and QoL after hospital discharge; (2) the differences or correlations among demographic data, disease-related information, health status, and QoL; (3) the factors that influence QoL; (4) survival status and risk factors during the 2–3 years following hospital discharge; and (5) changes and difficulties adapting after ECMO treatment. Methods: A cross-sectional survey was conducted using structured and semi-structured questionnaires and a convenient sampling method was adopted. The research participants comprised recovered adult patients who were treated with ECMO at a medical center between 2009 and 2011. The research tools comprised the patient demographic data and disease-related information, Barthel Index, instrumental activities of daily living (IADL), Notthingham health profile (NHP) part II, Short-Form 36-item questionnaire (SF-36), and a semi-structured questionnaire regarding adaptation to life after hospital discharge. Results: The 100 participants averaged 48.95±14.75 years of age. Of these patients, 10 patients were diagnosed with ECMO-related complications. The average scores for the Charlson comorbidity index (CCI), Barthel index, and IADL were 2.39±2.45, 96.15±13.16, and 7.12±1.99, respectively. The average number of currently affected items in the NHP part II was 2.27±2.85. The average scores for the physical component summary (PCS) and mental component summary (MCS) were 49.25±9.51 and 48.13±10.46, respectively. Body structure and function (CCI, r = -0.33, p < .01), activity (Barthel Index, r = 0.57, P < .01; IADL, r = 0.64, p < .01), and social participation (currently affected items in the NHP part II, r = -0.76, p < .01) correlated with QoL (SF-36). The factors that influenced QoL in the PCS were the number of currently affected items in the NHP part II (β= -0.62, adjusted R2 = 57.9%, p = .00), Barthel Index (β = 0.24, adjusted R2 = 5.2%, p = .00), and work status (β = 0.14, adjusted R2 = 1.6%, p = .02); the factors that influenced QoL in the MCS were the number of currently affected items in the NHP part II (β = -0.33, adjusted R2 = 10.2%, p = .00) and gender (β = -0.19, adjusted R2 = 2.7%, p = .05). The overall survival rate was 83.67% since discharge, and the factors affecting survival were age > 65 years (hazard ratio, HR = 2.59, p = .05), CCI (HR =1.13, p = .03), length of stay in the intensive care unit (HR =1.02, p = .00), and the length of stay in the hospital (HR =1.01, p = .00). During hospitalization, the patients typically expressed physical discomfort related to intubation, restraint, and changes in cognition (delirium). After discharge, most patients considered physical rehabilitation challenge; their critical experiences in the hospital prompted numerous patients to change their lifestyles, particularly their diets and the ways they arranged their schedules. In addition, numerous patients reported that their health and family were vital. Conclusion and Suggestions: (1) The results of this study support the theoretical framework of the “International classification of functioning, disability, and health (ICF)”: body structure and function, activity, and social participation are intercorrelated and affect QoL. (2) Compared with other critically ill patients, patients in this study exhibited a similar QoL as patients who underwent cardiac surgery. Regarding QoL, the patients in this study attained higher scores compared with other critical groups, but lower than normal norms. We suggest that patient discomfort caused by intubation and restraint should be alleviated as much as possible, and rehabilitation programs should be initiated as soon as possible to improve patient limb activity, adaptation to home life, and QoL. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T08:28:57Z (GMT). No. of bitstreams: 1 ntu-102-R96426030-1.pdf: 7424274 bytes, checksum: 26bb83b98e8e382fa0fbaca5a8fa4ee7 (MD5) Previous issue date: 2013 | en |
dc.description.tableofcontents | 口試委員會審定書 i
誌謝 ii 中文摘要 iii 英文摘要 v 目錄 vii 圖、表目次 ix 第一章 前言 1 第一節 研究動機與重要性 1 第二節 研究目的 2 第三節 名詞定義 3 第四節 研究架構 4 第二章 文獻查證 5 第一節 體外維生系統簡介 5 第二節 健康狀態及其相關因素 7 第三節 生活品質及其相關因素 11 第四節 重症病患的長期適應 23 第三章 研究方法 25 第一節 研究設計與對象 25 第二節 研究工具 27 第三節 資料收集過程 31 第四節 資料分析 32 第五節 倫理考量 33 第四章 研究結果 34 第一節 研究對象基本屬性與各量表得分情形 34 第二節 基本資料和各量表之間的相關性和差異性 48 第三節 生活品質之影響因素 56 第四節 研究對象存活狀況及死亡風險因素 58 第五節 葉克膜存活病患歷經治療後的改變及返家適應過程之歸類結果 61 第五章 討論 72 第一節 葉克膜存活病患其健康狀態與生活品質之關係 72 第二節 葉克膜存活病患之生活品質 78 第三節 葉克膜存活病患之死亡風險 80 第四節 葉克膜存活病患之生活適應 81 第六章 結論及建議 87 第一節 結論 87 第二節 研究限制 89 第三節 建議 90 參考文獻 91 中文部分 91 英文部分 91 附錄 100 附錄一 SF-36生活品質問卷分數計算方式 100 附錄二 個人基本資料表 105 附錄三 個人疾病資料表 107 附錄四 活動能力量表 110 附錄五 社會參與度量表 113 附錄六 SF-36生活品質問卷 115 附錄七 生活適應半結構式問卷 120 附錄八 SF-36生活品質問卷使用同意書 122 附錄九 臨床研究倫理委員會審查通過函 124 圖表目次 頁碼 圖 1-4-1 研究架構圖 4 圖 4-1-1 收案過程說明圖 37 圖 4-4-1 接受葉克膜治療病患存活情形(自住院開始統計) 59 圖 4-4-2 接受葉克膜治療病患存活情形(自出院開始統計) 59 表 2-1-1 臺大醫院葉克膜使用成人病患之存活率 6 表 2-3-1 重症病患使用SF-36生活品質問卷測量生活品質之相關研究 14 表 3-2-1 SF-36生活品質問卷不同構面題數和本研究內在一致性 30 表 3-4-1 統計方式列表 32 表 4-1-1 研究對象基本屬性 38 表 4-1-2 日常生活活動能力得分及需協助項目之排序 40 表 4-1-3 工具性日常生活功能量表得分及需協助項目之排序 40 表 4-1-4 諾丁漢健康評估量表(NHP)前後變化差異情形 41 表 4-1-5 使用葉克膜前後,整體病患和移植病患諾丁漢健康評估量表受影響 項目數差異比較 42 表 4-1-6 SF-36生活品質問卷得分情形(未標準化) 43 表 4-1-7 SF-36生活品質問卷得分情形(標準化) 43 表 4-1-8 重症病患使用SF-36生活品質問卷測量生活品質得分之比較 44 表 4-1-9 本研究和不同疾病群SF-36生活品質問卷常模得分之比較 45 表 4-1-10 本本研究和年齡相近SF-36生活品質問卷常模得分之比較 46 表 4-1-11 本研究存活天數和SF-36生活品質問卷得分之比較 47 表 4-2-1 連續變項與SF-36生活品質問卷得分之相關性 51 表 4-2-2 類別變項與SF-36生活品質問卷生理組成量表及其次量表得分之差 異性比較 52 表 4-2-3 類別變項與SF-36生活品質問卷心理組成量表及其次量表得分之差 異性比較 54 表 4-3-1 生活品質(SF-36)之影響因素 57 表 4-4-1 基本資料和存活情形之差異比較 60 表 4-5-1 接受葉克膜治療後出院病患,生活改變之歸納 64 表 4-5-2 接受葉克膜治療後出院病患,目前重要事情之歸納 67 表 4-5-3 接受葉克膜治療後出院病患,住院期間印象深刻事件之歸納 68 表 4-5-4 接受葉克膜治療後出院病患,返家遭遇困難之歸納 70 表 5-3-1 本研究病患不同時期所面臨之困擾 86 圖表目次 頁碼 附表1 SF-36生活品質問卷分數轉換表 102 附表2 SF-36生活品質問卷各構面分數轉換對照表 104 附表3 SF-36生活品質問卷各構面之平均值、標準差及因素得分係數 104 | |
dc.language.iso | zh-TW | |
dc.title | 接受體外維生系統(葉克膜)治療後病患之健康狀態及生活品質 | zh_TW |
dc.title | Health status and quality of life of Extra Corporeal Membrane Oxygenation survivors | en |
dc.type | Thesis | |
dc.date.schoolyear | 102-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 黃貴薰,柯文哲 | |
dc.subject.keyword | 葉克膜,健康狀態,生活品質,SF-36生活品質問卷, | zh_TW |
dc.subject.keyword | extra corporeal membrane oxygenation(ECMO),health status,quality of life (QoL),short-form 36-item questionnaire (SF-36), | en |
dc.relation.page | 125 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2014-01-10 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 護理學研究所 | zh_TW |
顯示於系所單位: | 護理學系所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-102-1.pdf 目前未授權公開取用 | 7.25 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。